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#4040 of 11K

T1505

HCPCS Procedure Code

HCPCS code T1505 is the #4,040 most-billed Medicaid procedure code, with $909K in payments across 38K claims from 2018–2024. The national median cost per claim is $25.39. Costs vary widely — the 90th percentile is $58.33 per claim, 2.3× the median.

Total Paid

$909K

0.00% of all spending

Total Claims

38K

Providers

14

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for T1505? Based on 14 providers billing this code nationally.

Median

$25.39

Average

$34.30

Std Dev

$30.70

Max

$125.00

Percentile Distribution (Cost per Claim)

p10
$12.70
p25
$18.38
Median
$25.39
p75
$41.26
p90
$58.33
p95
$82.75
p99
$116.55

50% of providers bill between $18.38 and $41.26 per claim for this code.

90% bill between $12.70 and $58.33.

Top 1% bill above $116.55.

About This Procedure

HCPCS code T1505 was billed by 14 providers across 38K claims, totaling $909K in Medicaid payments from 2018–2024. This code was used for 37K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.39

Providers Billing

14

National Spending

$909K

Avg/Median Ratio

1.35×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T1505

#ProviderTotal Paid
11245357557$368K
21568583458$220K
31073985941$142K
41891155909$41K
51518064898$40K
61386794428$33K
71215358361$21K
81629745823$13K
91023107281$13K
101841448404$10K
111386052660$7K
121922181650$450
131336384858$258
141326368598$62

Showing top 14 of 14 providers billing this code